# MASONS MEMORY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003987272
- **Authorized official:** MRS. SHELLY THORNBRUGH OWNER (OWNER)
- **Authorized official phone:** (785) 242-8882

## Contact information

- **Practice address:** 2534 S MAIN ST STE C, OTTAWA, KS 66067-9555
- **Practice address phone:** (785) 242-8882
- **Practice address fax:** (785) 242-8305
- **Mailing address:** 2534 S MAIN ST STE C, OTTAWA, KS 66067-9555
- **Mailing address phone:** (785) 242-8882
- **Mailing address fax:** (785) 242-8305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | A030002 | KS | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 08/22/2020